Ingaba nawe uyavuza umchamo ungaqondanga? Oku kubizwa ngokuba yi-functional incontinence! Singathetha ngale nto?

Ngaba ngamanye amaxesha uyavuza umchamo ungaqondanga? Okanye uyachama ngaphambi kokuba ubalekele kwindlu yangasese? Le yingxaki abantu abaninzi abanayo, kodwa kunokuba yintloni ukuthetha ngayo. Ungakhathazeki, awuwedwa. Ngokwezonyango, le meko ibizwa ngokuba yi- "Functional Incontinence" . Ngamafutshane, ayibangelwa yingxaki enkulu ngesinyi sakho (apho umchamo uqokelelana khona), kodwa kungenxa yokuba awukwazi ukufika kwindlu yangasese ngexesha ngenxa yesinye isizathu. Makhe sithethe ngale nto ngokweenkcukacha .

Yintoni i-Functional Incontinence?

Ngamafutshane, "(Ukungasebenzi kakuhle kokulawula umchamo)" kuxa ulahlekelwa lulawulo lwesinyi sakho kwaye ngempazamo uvuza umchamo. Kodwa oku akubangelwa sisifo esithe ngqo kwinkqubo yakho yomchamo. Kwenzeka xa unengxaki yokuya kwindlu yangasese ngexesha, okanye uqonda ukuba kufuneka uchame , ngenxa yesinye isimo somzimba okanye sengqondo. Khawuthelekelele, unomdla omkhulu wokuchama , kodwa akukho ndlela yokuya kwindlu yangasese, ngoko ke oku kunokwenzeka.

Oku kukwabizwa ngokuba yi-"Functional Urinary Incontinence". Zombini zithetha into enye.

Ixhaphake kangakanani le meko?

Enyanisweni, ngokubanzi, ukungalawuleki komchamo, okanye "ukungalawuleki komchamo", kuxhaphake kakhulu kunokuba unokucinga. Ngokwezinye iingxelo, phantse abantu abazizigidi ezingama-30 kwilizwe elifana neMelika banohlobo oluthile "lokungalawuleki komchamo". Ngoko ke ungacinga ukuba bangaphi abantu eSri Lanka abanengxaki yolu hlobo lokungakhululeki. "Ukungalawuleki kokusebenza" yenye yezi ntlobo. Ngoko ke oku akuyonto eyenzeka kuwe kuphela, baninzi abantu abanengxaki yolu hlobo.

Zithini iimpawu zokungakwazi ukuzibamba?

Kaloku, singayibona njani le meko "yokungalawuleki kokusebenza"? Jonga ukuba ezi zinto ziyakwenzeka na kuwe:

• Ukuvuza komchamo (ukuvuza kwamanzi) rhoqo ngaphandle kokuqaphela .
• Ngamanye amaxesha yonke i-bladder iyaphuma ngaphandle kokuqaphela.
• Andikwazi ukugcina umchamo wam ndide ndiye kwindlu yangasese.
• Uziva ngathi kukho ivumba lomchamo eliphuma kwiimpahla zakho okanye endlwini.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kulungile ukuba uziqwalasele.

Yintoni ebangela ukungalawuleki kokusebenza komzimba?

Ngoku makhe sijonge ukuba yintoni ebangela le meko "yokungalawuleki kokusebenza". Zininzi izizathu ezibangela oku.

• Iingxaki zengqondo : Ezi ziquka i-dementia (ukulahlekelwa yinkumbulo okuqhubekayo), i-delirium (ukudideka kwengqondo ngequbuliso), kunye nokukhubazeka kwengqondo. Umzekelo, umntu onesifo se-dementia unokuba nobunzima bokuchama .Usenokungakhumbuli into ekufuneka uyenze, okanye usenokungakwazi ukuyifumana indawo yendlu yangasese.
• Iingxaki ze-Neurological: Iimeko ezichaphazela ingqondo, umqolo, okanye inkqubo ye-nervous, ezifana ne-multiple sclerosis (MS), isifo sikaParkinson (esibangela ukungcangcazela), kunye ne-stroke. Ezi meko zinokubangela ukuba imiqondiso efunekayo ukulawula isinyi sakho iyeke ukusebenza kakuhle.
• Izifo ezichaphazela izihlunu, ezenza kube nzima ukuya kwindlu yangasese okanye ukunxiba : Umzekelo, `(Arthritis)` (iintlungu zamalungu). Ngoku khawucinge ukuba umama okanye utata wakho une `(Arthritis)`. Banobunzima bokugoba nokolula amalungu abo. Emva koko, xa kunzima kumntu onxibe isiketi ukusiphakamisa, kumntu onxibe ibhulukhwe ukusivula, okanye ukusivala nge-zip, kuthatha ixesha ukuya kwindlu yangasese uzilungiselele. Kulapho ke unokuhamba kancinci ngaphandle kokuqaphela.
• Izihlunu zesinyi ezibuthathaka okanye umgangatho we-pelvic : Xa ezi zihlunu zibuthathaka, kunzima ukubamba umchamo.
• Izithintelo zomzimba : Izinto ezifana nezitebhisi, ukukhanya okungekho kakuhle, okanye ubunzima bokufumana indlu yangasese kwindawo enabantu abaninzi. Khawucinge ngomntu omdala okwisihlalo sabakhubazekileyo, kwaye ayizizo zonke izindlu zangasese ezifikelelekayo kwizitulo zabakhubazekileyo.
• Ukubhitya okanye usulelo lwezicwili zesini.
• Amayeza achaphazela amandla okucinga : Iipilisi zokulala, njl. Ezi zingakwenza ulale kwaye zikwenze ulibale ukuchama .
• I-Diuretics : La mayeza anikwa ezinye izifo.
• Izifo zoMchamo (UTIs) : Le yimbangela eqhelekileyo.
• Ukuqhinwa : Nokuba ukuqhinwa kukhulu, uxinzelelo lunokwakheka kwisinyi, nto leyo ebangela iimeko ezinje.

"Uyabona, zininzi izizathu. Ngoko ke oku akupheleli kwinto enye kuphela."

Ngubani onokuthi abe nethuba elikhulu lokungakwazi ukuzibamba?

Nangona le meko inokukhula nakubani na, abanye abantu basengozini enkulu.

• Ukuba unesifo esichaphazela ukusebenza kwengqondo (`(Cognitive disorder)`).
• Ukuba unesifo semithambo-luvo.
• Ukuba unemeko echaphazela izihlunu kunye namalungu, njenge-arthritis.
• Ukuba usela amayeza athile, umzekelo, amayeza okukhupha umchamo, okanye amayeza akwenza ulale.
• Abantu abangaphezu kweminyaka engama-65 ubudala : Le meko ixhaphake kakhulu kubantu abadala abahlala kumakhaya abantu abadala. Umngcipheko uyanda njengoko umzimba utshintsha.
• Lo mngcipheko uphezulu nakwabo bangasebenzi kakuhle emzimbeni.

Ifunyaniswa njani le nto? (Ifunyaniswa njani i-functional incontinence?)

Ukuba ucinga ukuba unale mpawu, yintoni omawuyenze emva koko? Ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ugqirha okanye umongikazi uza kukuxilonga aze akubuze imibuzo ethile. Le mibuzo ingabandakanya:

• Ngaba okwangoku unyangwa ezinye izifo?
• Ithini indlela otya ngayo? Utya kwaye usela kangakanani?
• Usela amanzi angakanani ngosuku? Usela ntoni?
• Ngaba usela utywala okanye i-caffeine (iti, ikofu)?
• Uyenza kangakanani imithambo? Uhlobo luni lomthambo olwenzayo?
• Ngaba ungakwazi ukuhambahamba lula?

Kubaluleke kakhulu ukuphendula le mibuzo ngokunyaniseka , kuba kulapho kuphela apho ugqirha aya kukwazi ukuqonda imeko echanekileyo.

Luhlobo luni lovavanyo oluza kwenziwa?

Ugqirha angenza uvavanyo oluthile ukuze afumane unobangela ochanekileyo.

• Uhlalutyo lomchamo : Oku kuquka ukuthatha isampuli yomchamo wakho ukuze kuhlolwe usulelo okanye ezinye iingxaki.
• Uvavanyo lokungasebenzi kakuhle komgangatho we-pelvic : Olu vavanyo lujonga ukuba izihlunu zakho zomgangatho we-pelvic zisebenza kakuhle kangakanani kwaye zinamandla kangakanani.
• Uvavanyo lwe-Urodynamic : Olu luvavanyo oluntsonkothileyo ngakumbi. Lulinganisa izinto ezifana nendlela esebenza ngayo imithambo-luvo kunye nemisipha kwisinyi sakho, ukuba umchamo wakho uhamba ngesantya esingakanani, kunye noxinzelelo ngaphakathi nangaphandle kwesinyi sakho.

Ngamanye amaxesha ugqirha wakho unokukuthumela kwingcali yeenkqubo zomchamo nezokuzala ("Urologist") okanye kwingcali ekunyangeni iingxaki zomgangatho we-pelvic kubafazi ("Urogynecologist").

Ungayinciphisa njani i-functional incontinence?

Kulungile, ngoku masibone ukuba yintoni enokwenziwa ukunciphisa okanye ukulawula le meko "yokungalawuleki kokusebenza". Iindlela zonyango zixhomekeke kwisizathu.

Umzekelo, ukuba une-arthritis kwaye kunzima ukuyikhulula impahla yakho, kungcono ukunxiba impahla elula ukuyikhulula, elastiki, okanye iVelcro. Ukuba une-urinary tract infection (UTI), ugqirha wakho uya kukunika amayeza okubulala iintsholongwane. Ukuba amanye amayeza abangela le meko, ungathetha nogqirha wakho ukuze ubone ukuba kukho na amanye amayeza.

Ukongeza, izinto ezinjalo zinokunceda:

• Iipads zokungakwazi ukuzibamba okanye iimpahla zangaphantsi : Ezi ziyafumaneka kwiikhemesti. Kukwakho nophawu oludumileyo olubizwa ngokuba yiDepends®. Ukusebenzisa ezi zinto kunokunceda ukunciphisa umngcipheko wokumanzisa impahla kunye nokungonwabi ukuba uchama ngempazamo.
• Uqeqesho lwesinyi : Oku kukwabizwa ngokuba kukuphuma kwesinyi ngexesha elifanelekileyo. Kule meko, ucelwa ukuba uchameNokuba akunyanzelekanga, yiya kwindlu yangasese ngamaxesha aqhelekileyo imini yonke (ngesiqhelo rhoqo emva kweeyure ezimbini). Oku kuya kukunceda ukhuphe isinyi sakho ngaphambi kokuba sigcwale. Ungawandisa kancinci kancinci amathuba phakathi kwala maxesha.
• I-catheter yomchamo : Kwezinye iimeko ezinzima, ugqirha unokucebisa i-catheter yomchamo yexeshana okanye elide. Oku kubandakanya ukufaka ityhubhu encinci, eguquguqukayo nge-urethra iye kwisinyi, uqokelele umchamo ebhegini.
• I-catheter yekhondom : Le yinto engasetyenziswa ngamadoda. Incamatheliswe kwipenis njengekhondom, kwaye umchamo uqokelelwa kwingxowa ngetyhubhu eqhagamshelwe kuyo.
• Unyango lomzimba phantsi kwepelvic : Ingcali iya kukufundisa imithambo (njengoqheliso lweKegel) ukuqinisa imisipha yakho phantsi kwepelvic. Ukuqinisa le misipha kunokukunceda ukubamba umchamo wakho okwethutyana ngaphambi kokuba uye kwindlu yangasese.

Xa usekhaya, gcina indlela eya kwindlu yangasese icacile. Gcina iingcango zivulekile kwaye umgangatho ungangeni zinto zingafunekiyo ukuze unciphise amathuba okukhubeka nokutyibilika. Ukuba unengxaki yokubona, faka izibane ezongezelelweyo ezijikeleze indlu okanye ubeke itotshi encinci kufutshane. Kukwangumkhwa omhle ukukhangela izindlu zangasese ngaphambi kokuba uphume.

Ngaba oku kungathintelwa? (Ngaba ukungakwazi ukuzibamba emzimbeni kunokuthintelwa?)

Enyanisweni, asinakuthintela ezinye zezinto ezibangela `(Ukungasebenzi kakuhle kokulawula ukuzala)`, oko kukuthi, izifo ezichaphazela izihlunu, inkqubo yemithambo-luvo, okanye ukusebenza kwengqondo (`(Iimeko zemisipha, zemithambo-luvo okanye zengqondo)`). Oku kuthetha ukuba asinayo indlela ethe ngqo yokuthintela isifo esifana `(neDementia)` ukuba singaphuhli. Nangona kunjalo, singazama ukunciphisa ezinye izinto ezinobungozi. Umzekelo, izinto ezinje ngokuphila ubomi obusempilweni kunye nokunyamekela impilo yakho yomzimba.

Ndingalindela ntoni ukuba ndinengxaki yokungakwazi ukuzibamba?

Ukuba une-functional incontinence ngenxa yesifo esinganyangekiyo, esifana nesifo sikaParkinson, kusenokufuneka uphile naso ubomi bakho bonke. Kodwa oko akuthethi ukuba kufuneka ubandezeleke. Kwezi meko, kubalulekile ukuthetha nogqirha wakho malunga nendlela yokulawula iimpawu zakho. Zininzi iindlela zokwenza ubomi bube lula.

Ndingazinyamekela njani? (Ndizinyamekela njani?)

Ukuba une-``(Ukungasebenzi kakuhle kokulawula ulwelo``), ezi zinto zinokukunceda uzinyamekele:

• Gcina idayari yesinyi : Oku kuya kubandakanya ubungakanani bamanzi oselayo ngosuku, into oyityayo noyiselayo (ingakumbi i-caffeine, ukutya okuneziqholo), ukuba uchama kangaphi, nini , kwaye uchama ixesha elingakanani.Bhala phantsi izinto ezifana nokuba uchama kangaphi, uchama kangaphi, njl. Olu lwazi luya kuba luncedo kakhulu ekuqeqesheni isinyi kwaye ugqirha wakho aqonde imeko yakho.
• Ziphephe ukutya neziselo ezivuselela isinyi : I-caffeine (efumaneka kwiti, kwikofu, nakwitshokholethi), utywala, iisoda, ukutya okuneziqholo, kunye neejusi zeziqhamo ze-citrus ezifana neetumato, iilayimu, kunye neeorenji zinokuvuselela isinyi kwaye zikwenze ufune ukuchama rhoqo. Zama ukunciphisa oku kancinci uze ubone ukuba uyawubona na umahluko.
• Gcina ubunzima obusempilweni kuwe : Amafutha amaninzi esiswini anokubangela uxinzelelo olungeyomfuneko kwisinyi sakho. Ukunciphisa ubunzima kunokunceda.
• Hamba rhoqo : Ukuhamba kugcina umzimba wakho usebenza kwaye kukunceda uqaphele xa isinyi sakho sigcwele kwaye xa kufuneka ufumane indlu yangasese. Zama ukuhamba ubuncinane imizuzu engama-30 ngosuku.
• Yeka ukutshaya : Ngamanye amaxesha, ukukhohlela ngelixa utshaya kunokubangela ukuvuza komchamo. Ukutshaya kuyingozi nakwisinye. Ke ngoko, ukuyeka ukutshaya kunokunceda ekunciphiseni le meko.

Ndifanele ndimbone nini umboneleli wezempilo wam?

Kungcono ukubona ugqirha kwangoko xa uqala ukubona iimpawu "zokungalawuleki kokusebenza" (“Ukungasebenzi kakuhle komlomo”), ezinje ngokuvuza komchamo ngokungazi, okanye ukuya kwindlu yangasese okwethutyana. Musa ukuba neentloni okanye ukoyika. Oku kuqhelekile kugqirha. Emva koko ungafumanisa unobangela, ulawule imeko ngendlela ekufaneleyo, kwaye ufumane uncedo lokuthintela ukuvuza okungazikhethelanga.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, ungalibali ukubuza imibuzo efana nale:

• Yintoni isizathu sokuba ndibe nale meko "yokungazibambi kakuhle"?
• Luhlobo luni lovavanyo oluyenziwayo ukuqinisekisa oku?
• Siza kuzazi nini iziphumo zovavanyo?
• Ngaba kukho imisebenzi endifanele ndiyiphephe ?
• Zeziphi ukutya neziselo endifanele ndiziphephe ?
• Ndingazinyamekela njani xa ndisekhaya?
• Ndingazinyamekela njani xa ndiphuma endlwini?
• Ngaba kukho ezinye iimpawu ekufuneka ndiziqaphele ?

Ngokubuza le mibuzo, ungayiqonda ngcono imeko.

Ngaba kukho ezinye iintlobo zokungakwazi ukuzibamba komchamo?

Ewe, `(Ukungasebenzi kakuhle kokulawula)` luhlobo olunye kuphela. Kukho ezinye iintlobo ezininzi ezifana nolu. Masifunde kancinci ngalo.

• Ukungakwazi ukuzibamba ngokugqithisileyo : Oku kuxa isinyi sakho sigcwele, kodwa awukwazi ukusikhupha ngokupheleleyo. Usenokuvuza umchamo kuba isinyi sakho sigcwele, kodwa usenokungaqondi ukuba kufuneka uye kwindlu yangasese.
• Ukungakwazi ukuzibamba (`(Ukungakwazi ukuzibamba)`): Oku kwenzeka xa kukho uxinzelelo olukhawulezileyo (uxinzelelo) kwisinyi, umzekelo, xa ukhohlela, uhleka, uthimla, uphakamisa into enzima, okanye wenza umthambo othile, nto leyo ebangela ukuba umchamo uphume ngaphandle kokuqaphela.
• Khuthaza ukungakwazi ukuzibamba : Oku kwenzeka xa unqwenela ukuchama ngequbuliso, kodwa awukwazi ukuzibamba ude ufike kwindlu yangasese.

Ezi zezinye iintlobo eziphambili ezibonwayo. Abanye abantu banokuba nezinye iintlobo ezingaphezulu kwenye.

Umyalezo Wokugqibela Wokuya Ekhaya

Ukungakwazi ukuzibamba emzimbeni kunokuba yingxaki enkulu kubomi bakho bemihla ngemihla. Nangona kuqheleke kakhulu kunokuba ucinga, ungaziva uneentloni okanye uneentloni ukuthetha ngako. Ungade uphephe nemisebenzi yakho yemihla ngemihla kunye nokunxibelelana nabantu ngenxa yokoyika ukungakwazi ukuya kwindlu yangasese ngokukhawuleza.

Khumbula, awuwedwa kwezi ngxaki.

• Ukungakwazi ukuzibamba emzimbeni asinto onokuyenza nantoni na. Kunokuba nezizathu zomzimba okanye zengqondo.
• Eyona nto ibalulekileyo kukuthetha nogqirha ngale nto ngaphandle kokuba neentloni okanye ukoyika.
• Xa sele kuchongiwe unobangela ochanekileyo, kukho iindlela ezininzi zokulawula nokulawula le meko.
• Utshintsho olulula kwindlela ophila ngayo, umthambo, kwaye ngamanye amaxesha amayeza ukuba kuyimfuneko, kunokukunceda uphile ngempumelelo nale meko.
• Kukho abantu abanokukunceda. Ngoko ke fumana iingcebiso zonyango ezifanelekileyo.

Ukuba wena okanye umntu omaziyo unale mpawu, nceda ufumane ingcebiso kagqirha ukuze nawe ukwazi ukuphila ubomi obusemgangathweni nale meko.

Ukungakwazi ukuzibamba, Ukuphuma komchamo, Ukulahlekelwa lulawulo lomchamo, Ukuchama , Ukhathalelo lwabantu abadala, I-Neurology, I-Dementia